Bullectomy used to treat a patient with pulmonary vesicles related to COVID-19: A case report

doi:10.12998/wjcc.v10.i3.1086

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World Journal of Clinical Cases

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Case Report

World J Clin Cases. Jan 21, 2022; 10(3): 1086-1092
Published online Jan 21, 2022. doi: 10.12998/wjcc.v10.i3.1086

Bullectomy used to treat a patient with pulmonary vesicles related to COVID-19: A case report

He-Xiao Tang, Li Zhang, Yan-Hong Wei, Chang-Sheng Li, Bo Hu, Jing-Ping Zhao, Nahush A Mokadam, Hua Zhu, Jun Lin, Su-Fang Tian, Xue-Feng Zhou

He-Xiao Tang, Chang-Sheng Li, Jing-Ping Zhao, Xue-Feng Zhou, Department of Thoracic Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China

Li Zhang, Department of Cardiovascular Surgery, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China

Yan-Hong Wei, Department of Internal Medicine & Geriatrics, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China

Bo Hu, Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China

Nahush A Mokadam, Hua Zhu, Division of Cardiac Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, United States

Jun Lin, Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China

Su-Fang Tian, Department of Pathology, Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China

Author contributions: Tang HX, Zhang L, and Wei YH conceived and designed the study; Wei YH and Li CS contributed to the literature search and data collection; Tian SF contributed to pathology examination and interpretation of the findings; Tang HX, Zhang L, Hu B, Zhou XF, and Lin J contributed to data interpretation; Tang HX, Zhang L, Mokadam NA, Zhu H, and Zhou XF contributed to the figures and writing of the report.

Informed consent statement: The patient has signed an informed consent. This study was reviewed and approved by the Medical Ethical Committee of Zhongnan Hospital of Wuhan University (Approval number 2020051).

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Xue-Feng Zhou, MD, PhD, Professor, Surgeon, Department of Thoracic Surgery, Zhongnan Hospital of Wuhan University, NO. 169 Donghu Road, Wuchang District, Wuhan 430071, Hubei Province, China. snowingpeak@sina.com

Received: June 30, 2021
Peer-review started: June 30, 2021
First decision: October 18, 2021
Revised: October 27, 2021
Accepted: December 22, 2021
Article in press: December 22, 2021
Published online: January 21, 2022
Processing time: 199 Days and 3.8 Hours

Abstract

BACKGROUND

The corona virus disease 2019 (COVID-19) has been a pandemic for more than one year and estimated to affect the whole world in the near future.

CASE SUMMARY

Here we reported that one COVID-19 patient with vesicles was treated by bullectomy. The patient’s perioperative laboratory tests were analyzed. The pathological findings of bullectomy were described and compared with those of common bulla cases.

CONCLUSION

This patient with vesicles underwent bullectomy and had a poor prognosis. He showed diffuse alveolar damage and extensive necrosis in bullectomy specimen. We hope our report will be of interest for clinicians who will treat COVID-19 patients in the future.

Keywords: Corona Virus Disease 2019; Pulmonary vesicle; Surgical treatment; Case report

Core Tip: We reported that one corona virus disease 2019 (COVID-19) patient with vesicles was treated by bullectomy. The patient’s perioperative laboratory tests were analyzed. The pathological findings of bullectomy were described and compared with those of common bulla cases. This patient with vesicles underwent bullectomy and had a poor prognosis. He showed diffuse alveolar damage and extensive necrosis in bullectomy specimen. We hope our report will be of interest for clinicians who will treat COVID-19 patients in the future.